| National Provider Identifier [NPI]: | 1689626004 |
| Last Name Of The Provider | SANDERS |
| First Name Of The Provider | P |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 619 19TH STREET SOUTH |
| Street Address 2 Of The Provider | |
| City Of The Provider | BIRMINGHAM |
| Zip Code Of The Provider | 35233 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 47 |
| Number Of Services | 15790 |
| Number Of Medicare Beneficiaries | 4526 |
| Total Submitted Charge Amount | 987129 |
| Total Medicare Allowed Amount | 155125.17 |
| Total Medicare Payment Amount | 113681.49 |
| Total Medicare Standardized Payment Amount | 132941.29 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 7673 |
| Number Of Medicare Beneficiaries With Drug Services | 61 |
| Total Drug Submitted ChargeAmount | 7673 |
| Total Drug Medicare AllowedAmount | 1448.77 |
| Total Drug Medicare PaymentAmount | 1014.94 |
| Total Drug Medicare Standardized Payment Amount | 1014.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 46 |
| Number Of Medical Services | 8117 |
| Number Of Medicare Beneficiaries With Medical Services | 4526 |
| Total Medical Submitted Charge Amount | 979456 |
| Total Medical Medicare Allowed Amount | 153676.4 |
| Total Medical Medicare Payment Amount | 112666.55 |
| Total Medical Medicare Standardized Payment Amount | 131926.35 |
| Average Age Of Beneficiaries | 67 |
| Number Of Beneficiaries Age Less65 | 1383 |
| Number Of Beneficiaries Age 65 to 74 | 1822 |
| Number Of Beneficiaries Age 75 to 84 | 1031 |
| Number Of Beneficiaries Age Greater 84 | 290 |
| Number Of Female Beneficiaries | 2234 |
| Number Of Male Beneficiaries | 2292 |
| Number Of Non Hispanic White Beneficiaries | 3310 |
| Number Of Black or African American Beneficiaries | 1129 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 32 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3455 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1071 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 50 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 2.1997 |